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经颅直流电刺激对癫痫中谷氨酸能通路的影响:神经保护及治疗潜力

Effects of tDCS on glutamatergic pathways in epilepsy: neuroprotective and therapeutic potential.

作者信息

Demirdogen Filiz, Akcay Guven

机构信息

Department of Neurology, Mengücek Gazi Education and Research Hospital, Binali Yıldırım University, Erzincan, Turkey.

Department of Biophysics, Faculty of Medicine, Bolu Abant İzzet Baysal University, Bolu, Turkey.

出版信息

Pflugers Arch. 2025 Mar;477(3):341-348. doi: 10.1007/s00424-024-03049-1. Epub 2024 Dec 7.

DOI:10.1007/s00424-024-03049-1
PMID:39643704
Abstract

Epilepsy is a chronic neurological disease characterized by recurrent seizures caused by abnormal electrical activity in the brain. The aim of our study was to investigate the effect of tDCS on oxidative stress, Ca, glutamate, GABA, AMPAR1, and NMDAR1 levels in kindling-induced epilepsy model. Behavioral tests evaluated motor and cognitive functions, while assessing oxidative stress, Ca, glutamate, GABA, AMPAR1, and NMDAR1 levels in hippocampal tissue. tDCS stimulation therapy demonstrates a neuroprotective effect on motor and cognitive function postepilepsy. Our study reveals an increase in TOC, Ca, glutamate, GABA, AMPAR1, and NMDAR1 levels and a decline in total antioxidant capacity (TAC) following PTZ-induced seizures. However, tDCS treatment led to a significant decrease of Ca, total oxidant capacity (TOC), glutamate, GABA, AMPAR1, and NMDAR1 levels in the epilepsy cohorts, while simultaneously causing a spike in TAC levels. The study's results showed that tDCS treatment could have a therapeutic effect on oxidative stress, Ca, TOC, glutamate, GABA, AMPAR1, NMDAR1, and TAC in both acute and chronic kindling epilepsy models.

摘要

癫痫是一种慢性神经疾病,其特征是由大脑异常电活动引起的反复发作的癫痫发作。我们研究的目的是调查经颅直流电刺激(tDCS)对点燃诱导的癫痫模型中氧化应激、钙、谷氨酸、γ-氨基丁酸(GABA)、α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体1(AMPAR1)和N-甲基-D-天冬氨酸受体1(NMDAR1)水平的影响。行为测试评估运动和认知功能,同时评估海马组织中的氧化应激、钙、谷氨酸、GABA、AMPAR1和NMDAR1水平。tDCS刺激疗法对癫痫后的运动和认知功能具有神经保护作用。我们的研究表明,在戊四氮(PTZ)诱导的癫痫发作后,总氧化能力(TOC)、钙、谷氨酸、GABA、AMPAR1和NMDAR1水平升高,而总抗氧化能力(TAC)下降。然而,tDCS治疗导致癫痫队列中钙、总氧化能力(TOC)、谷氨酸、GABA、AMPAR1和NMDAR1水平显著降低,同时导致TAC水平升高。研究结果表明,tDCS治疗对急性和慢性点燃癫痫模型中的氧化应激、钙、TOC、谷氨酸、GABA、AMPAR1、NMDAR1和TAC可能具有治疗作用。

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本文引用的文献

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Effects of Transcranial Direct Current Stimulation on Motor and Cognitive Dysfunction in an Experimental Traumatic Brain Injury Model.经颅直流电刺激对实验性创伤性脑损伤模型运动和认知功能障碍的影响。
Turk Neurosurg. 2024;34(2):343-350. doi: 10.5137/1019-5149.JTN.45526-23.4.
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Effects of transcranial direct current stimulation on the glutamatergic pathway in the male rat hippocampus after experimental focal cerebral ischemia.经颅直流电刺激对实验性局灶性脑缺血后雄性大鼠海马谷氨酸能通路的影响。
J Neurosci Res. 2024 Jan;102(1):e25247. doi: 10.1002/jnr.25247. Epub 2023 Oct 6.
3
Transcranial direct current stimulation alleviates nociceptive behavior in male rats with neuropathic pain by regulating oxidative stress and reducing neuroinflammation.
经颅直流电刺激通过调节氧化应激和减轻神经炎症缓解神经病理性疼痛雄性大鼠的痛觉行为。
J Neurosci Res. 2023 Sep;101(9):1457-1470. doi: 10.1002/jnr.25204. Epub 2023 Jun 14.
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Editorial: Neuroinflammation in acquired epilepsy.社论:获得性癫痫中的神经炎症
Front Cell Dev Biol. 2022 Nov 7;10:1074537. doi: 10.3389/fcell.2022.1074537. eCollection 2022.
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Characterization of Cortical Glial Scars in the Diisopropylfluorophosphate (DFP) Rat Model of Epilepsy.二异丙基氟磷酸酯(DFP)癫痫大鼠模型中皮质胶质瘢痕的特征分析
Front Cell Dev Biol. 2022 Mar 16;10:867949. doi: 10.3389/fcell.2022.867949. eCollection 2022.
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Unifying mechanism behind the onset of acquired epilepsy.获得性癫痫发作背后的统一机制。
Trends Pharmacol Sci. 2022 Feb;43(2):87-96. doi: 10.1016/j.tips.2021.11.009. Epub 2021 Dec 6.
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Seizure-Induced Oxidative Stress in Status Epilepticus: Is Antioxidant Beneficial?癫痫持续状态下癫痫发作诱导的氧化应激:抗氧化剂有益吗?
Antioxidants (Basel). 2020 Oct 22;9(11):1029. doi: 10.3390/antiox9111029.
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Epilepsy-related and other causes of mortality in people with epilepsy: A systematic review of systematic reviews.癫痫相关和其他原因导致的癫痫患者死亡率:系统评价的系统评价。
Epilepsy Res. 2019 Nov;157:106192. doi: 10.1016/j.eplepsyres.2019.106192. Epub 2019 Aug 27.
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